Individual provider Active NPI

Sachin Shyamsunder Saboo, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
National Provider Identifier
1063728103
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R0944 Issued in TX
Practice address
4502 Medical Dr
San Antonio, TX 78229
Phone
(210) 450-9000
Fax
(210) 450-4903
NPI assigned
Aug 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R0944 TX Primary

Addresses

Primary practice location

4502 Medical Dr
San Antonio, TX 78229

Mailing address

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 450-9000

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (617) 817-9353

Other identifiers 2

IdentifierTypeStateIssuer
337775606OtherTXCSHCN
337775605MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140729002258 TX Practitioner - Diagnostic Radiology 9830337716 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Radiology Imaging CentersGroup PAC ID 0547153512, 75 clinicians
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians

Practice addresses (Care Compare)

4410 Medical Dr
Suite 200
San Antonio, TX 78229-3744
Phone (210) 575-6750

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
83.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as group
Quality
91.83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R0944TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2014 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Aug 1, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Health Science Center at San Antonio Diagnostic Radiology Current Accepting new patients
The University of Texas Health Science Center at San Antonio Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2014 Accepting new patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients

Locations (25 of 28)

134 Menger Spgs
Ste 1110
Boerne, TX 78006
Phone (830) 816-9500

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

11923 Culebra Rd
Ste 201
San Antonio, TX 78253
Phone (210) 617-9660

21 Spurs Ln
Ste 140
San Antonio, TX 78240
Phone (210) 617-9100

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

5510 Presidio Pkwy
Ste 2201B
San Antonio, TX 78249

7910 Barlite Blvd
San Antonio, TX 78224
Phone (210) 617-9940

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

1888 Nacogdoches Rd
San Antonio, TX 78209
Phone (210) 617-9920

4458 Medical Dr
Ste 345
San Antonio, TX 78229
Phone (210) 617-9220

1200 Brooklyn Ave
Ste 100
San Antonio, TX 78212
Phone (210) 208-2500

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

4383 Medical Dr
Ste 150
San Antonio, TX 78229

18707 Hardy Oak Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-6520

4410 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-6750

5715 Rogers Rd
Ste 101
San Antonio, TX 78251
Phone (210) 617-9650

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

155 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-9500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1063728103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294402",
            "telephone_number": "210-450-9000",
            "fax_number": "210-450-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-450-9000",
            "fax_number": "210-450-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "617-817-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABOO",
        "first_name": "SACHIN",
        "middle_name": "SHYAMSUNDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R0944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "337775606",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337775605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.